Organization
GREATER ORLANDO OUTPATIENT CENTER
Active
Parent organization
PRESTIGE ORTHOPEDICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE ORTHOPEDICS, LLC
Authorized official
NOEMI MADERA (CLINICAL ADMINISTRATOR ASSISTANT)
(954) 532-6418
Entity
Organization
Contact information
Practice address
100 N DEAN RD, SUITE 101, ORLANDO, FL 32825-3710
(407) 963-0811
Mailing address
1245 W FAIRBANKS AVE, SUITE 350, WINTER PARK, FL 32789-7111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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